Transcript Highlights:

• <00:15:43.200> and to partnering with um counties and to partnering with um counties and focusing
• The procedures, wait times, and backlogs vary dramatically from county to county. differ in 87 counties
• <00:38:21.160> case simultaneously work with county case simultaneously work with county case
• to county.
• <01:25:14.240> Medical people at Hennepin County Medical people at Hennepin County Medical

Bills: HF4401, HF4466

Keywords: HF4401, Minnesota Medical Assistance, dental reimbursement, dental rates, critical access dental providers, Medicaid dental, MinnesotaCare, managed care plans, county-based purchasing plans, fee-for-service, oral health access, safety-net clinics, federally qualified health centers, rural health clinics, Indian health services, state-operated dental clinics, low-income patients, children's dental care, provider reimbursement, dental access

Transcript Highlights:

• paid our premiums, and we planned paid our premiums, and we planned responsibly<00:12:29.600>
• This proposal transfers authority over HMOs and county-based purchasers, or CBPs, from the Department
• This proposal transfers authority over HMOs and county-based purchasers, or CBPs, from the Department
• This proposal transfers authority over HMOs and county-based purchasers, or CBPs, from the Department
• proposal transfers authority over HMOs proposal transfers authority over HMOs and<01:14:01.679> county-based

Bills: HF4609, HF4401

Keywords: infertility, fertility treatment, fertility preservation, IVF, assisted reproductive technology, ART, oocyte retrieval, embryo transfer, egg freezing, sperm freezing, reproductive health, maternity coverage, health insurance mandate, health plan benefits, Medical Assistance, Medicaid, MinnesotaCare, family planning, oncology fertility preservation, chemotherapy

Transcript Highlights:

• have a question for Representative Lee, to make sure that I have that right, that it does include county-based
• <00:40:36.240> based<00:40:36.640> purchasing our county based purchasing our county
• based purchasing um<00:40:38.880> in<00:40:39.359> line<00:40:40.400> 1.19.
• <00:40:47.359> based<00:40:47.680> purchasing<00:40:48.240> as include uh county
• based purchasing as include uh county based purchasing as well.<00:40:49.520> Um, Thank you,

Bills: HF3439, HF3763

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Summary: The House Health Finance and Policy Committee met on March 4, 2026, approved the minutes from its February 25 and March 2 meetings, and then heard a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid eligibility changes in the federal One Big Beautiful Bill Act (HR1/OB3). The presentation focused on provisions affecting Medicaid expansion adults ages 19 to 64, including new work and community engagement requirements, changes to retroactive eligibility, quarterly death master file checks, address verification requirements, six-month redeterminations for expansion enrollees, and new limits on some lawful permanent residents and other immigrant groups. Castanza also discussed state implementation issues, including the need for new data-sharing systems, system modernization, outreach, and options for helping people transition to other coverage if they lose eligibility. She said the work and community engagement rules take effect January 1, 2027, with states given flexibility on look-back periods, consecutive versus nonconsecutive months, and optional hardship exemptions, and noted that CMS guidance is not expected until June 2026. She also described federal support for implementation, including $200 million in grants and a 90% federal match for eligibility system work, while warning that the fast timeline could lead to coverage losses, churn, and challenges for special populations such as caregivers, people with behavioral health conditions, incarcerated individuals, and rural residents. She further explained that an erroneous payment provision could expose states to federal recoupment later if eligibility errors increase. During member questions, Representative Beerman asked about the overall size of the Medicaid cuts and the cumulative national impact; Castanza said estimates vary by state and cited KFF analysis suggesting states could lose 4% to 19% of federal Medicaid revenue, with a newer RAND analysis recently released. Beerman also asked about the history and effectiveness of state work requirements, but that discussion was not completed in the excerpt. Representative Elkins noted the presentation was not initially posted on the committee website, and the chair said it had since been posted.

Transcript Highlights:

• Members, this Senate Bill 2135 Authorizes the county purchasing agent to obtain a Pcard through a local
• Purchasing agent, so typically how high can that go if it can just be established by the county purchasing
• Exceed $5,000 dollars and then it says or the limit established by the county purchasing agent.
• And these are the limits the county can set. Based on these certain limits.
• Obviously, utilities at $5,000 dollars for most counties is not a special. Our county would.

Bills: SB2130, SB2135

Keywords: municipal finance, audit exemption, biennial reporting, local government, transparency, county purchasing, purchase card, government accountability, emergency expenditures, 914, all

Transcript Highlights:

• I hadn't made an indication yet, but yes, I was planning on it.
• And whenever they bring that to the brass, we come up with a plan on how to address it.
• I understand how the Oklahoma Central Purchasing Act and, like I said, the trying to keep track of it
• They would have to renew in order to justify how they're doing their central purchasing.
• What I want to do is make sure that those COLAs are done based on the performance of that fund.

Bills: SB1415, SB1714, SB1962, SB26, SB172

Keywords: nondisclosure agreements, state employment, employee rights, transparency, government accountability, employee suggestions, cost savings, state agencies, incentives, performance awards, efficiency, Oklahoma Central Purchasing Act, state procurement, state purchasing, State Purchasing Director, Office of Management and Enterprise Services, OMES, exempt entities, purchasing exemptions, state contracts

Bills: SB326, SB326

Keywords: sheriff, credit card, debit card, financial procedures, Jackson County, purchasing authority, boating regulations, anchoring, rafting, enforcement mechanism, environmental protection, 1136, house, all

Transcript Highlights:

• Chairman, Senate Bill 2135 authorizes county purchasing agents to obtain and administer a county purchase
• All county Piciccard purchases remain subject to the competitive bidding emergency declaration and purchase
• This bill authorizes the Board of County Commissioners to...
• Are you aware of a Supreme Court case, Kenney versus the Board of County Commissioners in Tulsa County
• taking this to the vote of the people in their county, and the county citizens would actually have to

Bills: SB1265, SB2154, SB1775, SB2139, SB1552, SB483, SB1198, SB2135, SB2118

Keywords: municipal ordinance, municipal court, court of record, court not of record, local government, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI, driving under the influence, alcohol-related offenses, drug-related offenses, prostitution, solicitation

Transcript Highlights:

• employers, private health plans, and individuals to combine their purchasing power to negotiate better
• , health benefit plans, and individual consumers to also benefit from greater purchasing power and economies
• These individuals are technically eligible to purchase a Medicare Supplement or Medigap plan; however
• a plan.
• All the other plans are lettered plans. I think A through M or N.

Bills: HB1464, HB1635, HB2516, HB3317, HB3502, HB4012, HB4268, HB4386, HB4877, SB916

Keywords: prescription drugs, drug pricing, pharmacy benefits, health insurance, health benefit plan, insurer, HMO, self-insured employer, public employer, school district, county, municipality, university system, higher education, retirees, dependent coverage, stop-loss coverage, bulk purchasing, group purchasing, purchasing pool

Transcript Highlights:

• , and directed that the service eligibility be based solely on assessed need and person-centered planning
• planning rather than age criteria.
• <00:08:20.120> on here for basically based on here for basically based on uh<00:08:21.520>
• federal<00:29:30.760> recommendation was based on a federal recommendation was based on a
• case management and support plan case management and support plan development,<00:58:15.920>

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• It will not exceed $75,000 but will make tourism and recreation exempt from the Oklahoma Central Purchasing

Bills: SB1365, SB2139

Keywords: SB1365, Oklahoma Central Purchasing Act, procurement exemption, competitive bidding, state purchasing, Oklahoma Tourism and Recreation Department, tourism department, merchandise for resale, gift shops, lodges, golf pro shops, state parks, restaurant contracting, retail outlets, public procurement, purchasing flexibility, Title 74, emergency clause, restrictive covenants, discriminatory covenants

Transcript Highlights:

• Section 14 provides role-based access to the MnChoices support plan system to providers.
• the provides role-based access to the MnChoices<00:19:27.679> support<00:19:28.120> plan
• revise the treatment plan based upon the data collected that week, present that to the entire team.
• revise the treatment plan based upon the data collected that week, present that to the entire team.
• <01:14:09.120> based<01:14:09.600> upon uh revise the treatment plan based upon uh

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• developed by a county.
• House Bill 2452 removes planning for renewable energy in counties with a population of more than 125,000
• persons and includes planning for energy and mining that is appropriate to each county.
• will adjust its county comprehensive plan.
• When counties create comprehensive plans, they use broad categories: industrial, rural, urban, commercial

Bills: HB2452, HB2592

Keywords: comprehensive plans, county governance, data centers, zoning, state regulations, land use, energy production, infrastructure, environmental impact, artificial intelligence, government regulation, innovation, procurement, administrative burdens, 1182, all

Summary: The House Artificial Intelligence and Innovation Committee heard a presentation from Steven Garrison of the Cicero Institute on how Arizona state government could use AI to improve service delivery, reduce costs, and streamline procurement. He argued that AI should be treated as software deployed across many use cases, not just chatbots, and urged the state to identify opportunities proactively, avoid unnecessary agency-level AI rules, use existing procurement structures, and measure outcomes. Members asked about workforce impacts, agency involvement, privacy, and the balance between innovation and regulation; Garrison said AI would likely augment workers first, create new jobs over time, and should be guided by the legislature rather than broad agency rulemaking. The committee then considered HB 2592, which directs the Department of Administration to have budget units identify AI opportunities and streamline implementation, and an amendment adding reporting requirements to state leaders and the Secretary of State. After limited public testimony, the amendment was adopted and the bill received a due pass recommendation on a 4-2 vote, with one member absent. The committee next took up HB 2452, which would add data centers and small modular reactors to county comprehensive planning and adjust county land-use planning requirements, including changes related to renewable energy planning in larger counties. Supporters said the bill would help counties plan ahead for data center growth and future energy needs, including SMRs and other emerging technologies. County representatives opposed the measure, arguing it improperly singled out specific uses, blurred the line between comprehensive planning and zoning, and reduced local control by altering established public planning processes; they also raised concerns about vague standards and the bill’s treatment of renewable energy. After debate, the committee approved HB 2452 on a 4-3 vote for a due pass recommendation and then adjourned.

Transcript Highlights:

• It makes him competitive with other municipalities or counties of that size.
• So this bill simply allows the Montgomery County City Council to be authorized to...
• We have the Chamber of Commerce, Montgomery County, at the airport.
• I am, I do the county too. My bad. Okay.
• So, we had asked for the county to come in this morning, but I just don't see any of them here.

Bills: HB424, SB286

Keywords: HB424, Montgomery County, sheriff, county sheriff, salary increase, expense allowance, local act, county general fund, retirement contributions, public official compensation, law enforcement pay, elected official salary, Montgomery County legislation, sheriff compensation, term-based salary, retirement system, Montgomery City Council, constitutional amendment, employees, service credit

Transcript Highlights:

• by the cities and counties at 69 and 53. by the cities and counties at 69 and 53.
• So, um, I, you know, one step is to ensure that all schools have a plan that is evidence-based.
• So, um, I, you know, one step is to ensure that all schools have a plan that is evidence-based.
• <01:36:37.520> I a plan that is evidence-based. I a plan that is evidence-based.
• school safety plans.

Bills: HF3492, HF3493, HF3494, HF3495, HF3602

Keywords: school safety, grants, education funding, Northern Lights Express, security improvements, rural schools, safe schools, charter schools, nonpublic schools, Tribal education, funding increase, safe schools aid, school security, mental health support, Tribal schools, cybersecurity, funding, mental health, evidence-based plans, public safety

Transcript Highlights:

• I filed a police report with Cass County Sheriff's Office.
• > to Cass County attorney declined to Cass County attorney declined to prosecute<00:14:04.560>
• has no massage therapy and Cass County has no massage therapy licensing. licensing. licensing.
• So, whatever happened in Cass County, there was something that was..."
• >> Yes, most of us are licensed in a different county.

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• Is it based on the number of customers? Is it based on how much money it generates? in the home.
• I'm not exactly sure how many counties out of the seven have county zoning that would apply out in the
• only to the counties, which I think are in the majority that do not have county zoning.
• larger than the smaller counties.
• In a smaller county, many counties don't have TIFs at all, but if they happen, what we're asking for

Bills: SB1519, SB1775, SB1900, SB1948, SB2080

Keywords: municipal zoning, home-based businesses, no-impact businesses, local government, regulation, short-term rentals, municipal ordinance, municipal court, court of record, court not of record, city penalties, fine limits, penalty cap, ordinance enforcement, state statute, traffic offenses, speeding, parking, DUI, DWI

Transcript Highlights:

• plans, into the bill.
• > into provided plans these Orisa plans into provided plans these Orisa plans into the<00:24:18.159
• Some of those counties are urban and some of those counties are rural.
• You take a county like Lowndes County that's rural.
• Yes. do include the Orisa plans. We did not do include the Orisa plans.

Bills: HB424, SB63, SB269

Keywords: HB424, Montgomery County, sheriff, county sheriff, salary increase, expense allowance, local act, county general fund, retirement contributions, public official compensation, law enforcement pay, elected official salary, Montgomery County legislation, sheriff compensation, term-based salary, immigration, law enforcement, fingerprints, DNA collection, illegal aliens

Transcript Highlights:

• That 30% in-state does cover all 77 counties, so we are happy to be able to serve everyone in the state
• under $75,000 to be exempt from the Oklahoma Central Purchasing Act specifically just for the purchases
• As mentioned, this exempts those purchases under $75,000 to restock these shelves.
• So, we want to be able to purchase more through a wider, more diverse array of retailers.
• It is simply raising our ability to purchase from $25,000 to $75,000.

Bills: SB1307, SB1425, SB1826, SB1365, SB1696

Keywords: SB1425, health care, healthcare workforce, workforce board, Health Care Workforce Resources Board, Health Care Workforce Resources Act, Oklahoma Health Care Workers and Educators Assistance Program, repeal, statutory repeal, health care workers, educators, workforce development, health professions, state board, assistance program, Oklahoma statutes, economic development, incentives, enterprise zones, local government

Transcript Highlights:

• The Senate Local and County Government Committee meeting will come to order.
• members must be elected by the county at large.
• Just briefly, what we're trying to address is that in every county, it allows the county to decide how
• This bill will allow counties to seek quotes for certain smaller purchases instead of always using a
• The local and county government will meet next week. Meeting adjourned.

Bills: HB3002, HB3416, HB3417, HB3418, HB3419, HB3463, HB3919, HB3985, HB4303

Keywords: counties, county officers, education, training, sunset law, county purchasing, procurement practices, budget management, public accountability, emergency procurement, reverse auction, bidding process, competitive bidding, public procurement, city council regulations, public works, bidding procedures, construction contracts, transparency, public trust

Transcript Highlights:

• Many counties use a purchasing agent appointed by a board composed of district judges and commissioners
• Again, we have a system in our county government where district judges sit on the purchasing board and
• for purchasing. decisions in the business of county government.
• A growing county like El Paso, this change would enhance accountability in the purchasing office and
• All legal matters related to purchasing go through the county attorney's office, and the county auditor

Bills: HB1597, HB2364, HB2437, HB3205, HB3253, HB3310, HB3648, HB3906, HB4259, HB5645

Keywords: county jailer, jail training, veterans, Texas Veterans Commission, Texas Commission on Law Enforcement, TCOLE, criminal justice system, county jail, law enforcement training, mental health training, jail standards, correctional officers, veteran services, veteran interaction, occupations code, jailer licensing, parking, county courthouse, infrastructure, local government